HomeMy WebLinkAbout05-04-2021 Septic Pumping ReportSewer Services Inc.
Date Serviced: S 1 2( Driver:
Pumping Report
lit: 2502
Type: Residential Commercial
Scheduled Maintenance: Emergency Services: Start time:
Stop time:
Name:
Address:
Did you measure the accumulation of scum and sludge?
Phone:
City:
Yes No, pumped regardless
I , refuse to allow the removal of the solids and liquids through
the maintenance hole. I understand that removal of solids and liquids through other access
points is not considered a compliant method of solids removal and does not fulfill the solids
removal requirements of Minn. R. 7080.2450 and 7082.0600
Owner's Signature
Tank Type - Precast - Block - Concrete - Plastic - Other
Filter: Yes No Type of system: Mound - Gravity - Holding Tank - Elevated Trench/Bed
Type of waste: Domestic - Holding
Are tanks leaking above or below flow line? Yes No If yes, where:
Did you observe sewage discharging onto the ground surface? No Yes,
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes No,
concerns:
Disposal site:
Next recommended pumping: Length of hose required:
Comments/Troubleshooting/Repairs:
Location of tanks in
Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011 - 952-873-3292
Septic tanks should be pumped evert / to 3 tears,
Many different variables deternnine how often
a tank needs pumping:
.j Tfpe and age of 'ststem
Number of people in the house
Garbage disposal
j Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
State Certified
5648 200"' St • Belle Plaine, MN 56011 • 952-S'
Billint., Information
P11111ping (first MOO C;al.):
Additional gallons (slrs.ut)rkr
Seri icing Ptinlh "hank (sss.txll: _
Exposing Manholes ( 12,, %k%rpa(kvtwrhsgtrl: ` --
E wessiv e DiS4111ce Maar thm, 12(r 1:
—
Ewessive Grade tin„tm than 2W total ha►: —
Rizer: -- ---
Ernergency Charge: -
Materials: —
l.ahur:
Permil: _
111,111lig 1 Le S% (IIT- Fuel Surohurge $S. 11t)Puy mo nl Metl1�>?I-- lout► Due: ,1 /
Noone - Cash - Check to
Tank 1
Tank 2
Tank 3
Tank 4
Pretreatment
Pump Tank
Gallons Billed
Scum
- -- —
— —
Sludge
—
%full
Operating Depth
Access used
Depth to lid
I , refuse to allow the removal of the solids and liquids through
the maintenance hole. I understand that removal of solids and liquids through other access
points is not considered a compliant method of solids removal and does not fulfill the solids
removal requirements of Minn. R. 7080.2450 and 7082.0600
Owner's Signature
Tank Type - Precast - Block - Concrete - Plastic - Other
Filter: Yes No Type of system: Mound - Gravity - Holding Tank - Elevated Trench/Bed
Type of waste: Domestic - Holding
Are tanks leaking above or below flow line? Yes No If yes, where:
Did you observe sewage discharging onto the ground surface? No Yes,
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes No,
concerns:
Disposal site:
Next recommended pumping: Length of hose required:
Comments/Troubleshooting/Repairs:
Location of tanks in
Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011 - 952-873-3292
Septic tanks should be pumped evert / to 3 tears,
Many different variables deternnine how often
a tank needs pumping:
.j Tfpe and age of 'ststem
Number of people in the house
Garbage disposal
j Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
State Certified
5648 200"' St • Belle Plaine, MN 56011 • 952-S'
Billint., Information
P11111ping (first MOO C;al.):
Additional gallons (slrs.ut)rkr
Seri icing Ptinlh "hank (sss.txll: _
Exposing Manholes ( 12,, %k%rpa(kvtwrhsgtrl: ` --
E wessiv e DiS4111ce Maar thm, 12(r 1:
—
Ewessive Grade tin„tm than 2W total ha►: —
Rizer: -- ---
Ernergency Charge: -
Materials: —
l.ahur:
Permil: _
111,111lig 1 Le S% (IIT- Fuel Surohurge $S. 11t)Puy mo nl Metl1�>?I-- lout► Due: ,1 /
Noone - Cash - Check to